Provider Demographics
NPI:1902853500
Name:HORIZON AMBULANCE, INC.
Entity Type:Organization
Organization Name:HORIZON AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-676-5777
Mailing Address - Street 1:3170 KNIGHTS RD
Mailing Address - Street 2:UNIT C
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2800
Mailing Address - Country:US
Mailing Address - Phone:215-676-5777
Mailing Address - Fax:215-676-5356
Practice Address - Street 1:3170 KNIGHTS RD
Practice Address - Street 2:UNIT C
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2800
Practice Address - Country:US
Practice Address - Phone:215-676-5777
Practice Address - Fax:215-676-5356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA030023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083631Medicare PIN